PDF(Pubmed)
Abstract：
Cystic artery pseudoaneurysm (CAP) is a rare entity, with just a few cases reported in the literature. The most common presentation of CAP is described by Quincke\'s triad of upper gastrointestinal bleeding, jaundice and right upper quadrant abdominal pain. We report the case of an 83-year-old male who presented to the adult emergency with a history of an acute cholecystitis 5 weeks prior for which responded to conservative management. Despite this patient not presenting with Quincke\'s triad, early suspicion of CAP was considered in light of his history of acute cholecystitis and a computed tomographic CT abdomen ordered promptly which showed a 6 mm cystic artery pseudoaneurysm and a thick-walled gallbladder with surrounding inflammatory changes. Management with an endovascular approach followed by an elective cholecystectomy was done.
摘要：
囊性动脉假性动脉瘤（CAP）是一种罕见的实体，文献中只报道了几例。CAP最常见的表现是Quincke的上消化道出血三合会，黄疸和右上腹腹痛。我们报告了一例83岁的男性，该男性在5周前有急性胆囊炎病史，对保守治疗有反应。尽管这个病人没有出现Quincke的三合会,考虑到他的急性胆囊炎病史,并及时进行了CT腹部检查,结果显示6mm胆囊动脉假性动脉瘤和厚壁胆囊,周围有炎症改变.进行了血管内方法的管理，然后进行了选择性胆囊切除术。
